The perceptions of community change through promoting positive sexual health : a teenage pregnancy program evaluation
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Terry, Daniel
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel
- Date: 2015
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 3, no. 2 (2015), p. 55-64
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- Description: Teenage pregnancy is associated with adverse social, economic and health outcomes for both mother and child. The factors frequently associated with teenage pregnancy or related sexual health issues include teenagers' knowledge, attitudes, and beliefs about sex and other social-economic factors such as levels of poverty, academic success or failure, and parents' education. This paper reports on the evaluation of a teenage pregnancy program conducted in the Southern and North Western regions of Tasmania to address the high levels of teenage pregnancy and sexually transmitted infection (STIs) in these regions. The aim of the study was to examine the effectiveness of the Teenage Pregnancy Programs by examining any evidence for a community change in attitudes and behaviours, and any changes in youth awareness about sexual health. The study adopted a qualitative approach and data were collected from a total of 25 participants (17 who were interviewed and eight who participated in focus groups) residing in the target regions. Data were analysed using thematic analysis using Nvivo 9.0. The study results indicated that the program was well managed and delivered. There were reported changes in the awareness, attitudes and behaviours regarding sexual health within the target communities, which were considered necessary for young people to make well informed choices. The evaluation of the program provides valuable knowledge regarding the processes and outcomes that may have application in future community based sexual health initiatives may be delivered into regional communities.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel
- Date: 2015
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 3, no. 2 (2015), p. 55-64
- Full Text:
- Reviewed:
- Description: Teenage pregnancy is associated with adverse social, economic and health outcomes for both mother and child. The factors frequently associated with teenage pregnancy or related sexual health issues include teenagers' knowledge, attitudes, and beliefs about sex and other social-economic factors such as levels of poverty, academic success or failure, and parents' education. This paper reports on the evaluation of a teenage pregnancy program conducted in the Southern and North Western regions of Tasmania to address the high levels of teenage pregnancy and sexually transmitted infection (STIs) in these regions. The aim of the study was to examine the effectiveness of the Teenage Pregnancy Programs by examining any evidence for a community change in attitudes and behaviours, and any changes in youth awareness about sexual health. The study adopted a qualitative approach and data were collected from a total of 25 participants (17 who were interviewed and eight who participated in focus groups) residing in the target regions. Data were analysed using thematic analysis using Nvivo 9.0. The study results indicated that the program was well managed and delivered. There were reported changes in the awareness, attitudes and behaviours regarding sexual health within the target communities, which were considered necessary for young people to make well informed choices. The evaluation of the program provides valuable knowledge regarding the processes and outcomes that may have application in future community based sexual health initiatives may be delivered into regional communities.
The socio-economic and physical contributors to food insecurity in a rural community
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Murray, Sandra, Long, Gretchen, Terry, Daniel
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Murray, Sandra , Long, Gretchen , Terry, Daniel
- Date: 2015
- Type: Text , Journal article
- Relation: SAGE Open Vol. 5, no. 1 (2015), p.
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- Description: Australia is considered a highly food-secure nation; however, this is not always the case for every individual, household, and community. This article examines the physical and financial access to food of the population of Dorset, a rural municipality in North East Tasmania (Australia); the impact that socio-economic factors have on their food security; and the coping strategies they use when food shortages occur. A mixed-methods approach was used: Quantitative data were collected through the Tasmanian Household Food Security Survey and qualitative data through nine community focus groups conducted throughout the Dorset municipality. A total of 364 respondents (response rate 63%) completed the survey. Two main themes were identified within the data: food availability and food access. Food availability considered food origin, sustainability, and food production, whereas food access considered physical access, financial access, and other access issues such as awareness, skills, cultural preferences, and social support. The data revealed the wide-ranging effects of the importation of cheaper food alternatives, which had long-term implications not only on individuals' health but also on the economic health of the community. A number of respondents indicated they were at times unable to buy nutritious foods due to limited finances, which led some to go without food or use other strategies to feed themselves. This study highlights the inappropriateness of the continuation of individual behavior change as a policy focus, as many of the problems facing communities are beyond individual abilities. Thus, the implications for policy from this study are centered on providing further support for strategies that focus on ensuring equity and food security for all, particularly the rural inhabitants of many food-secure nations. © The Author(s) 2015.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Murray, Sandra , Long, Gretchen , Terry, Daniel
- Date: 2015
- Type: Text , Journal article
- Relation: SAGE Open Vol. 5, no. 1 (2015), p.
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- Description: Australia is considered a highly food-secure nation; however, this is not always the case for every individual, household, and community. This article examines the physical and financial access to food of the population of Dorset, a rural municipality in North East Tasmania (Australia); the impact that socio-economic factors have on their food security; and the coping strategies they use when food shortages occur. A mixed-methods approach was used: Quantitative data were collected through the Tasmanian Household Food Security Survey and qualitative data through nine community focus groups conducted throughout the Dorset municipality. A total of 364 respondents (response rate 63%) completed the survey. Two main themes were identified within the data: food availability and food access. Food availability considered food origin, sustainability, and food production, whereas food access considered physical access, financial access, and other access issues such as awareness, skills, cultural preferences, and social support. The data revealed the wide-ranging effects of the importation of cheaper food alternatives, which had long-term implications not only on individuals' health but also on the economic health of the community. A number of respondents indicated they were at times unable to buy nutritious foods due to limited finances, which led some to go without food or use other strategies to feed themselves. This study highlights the inappropriateness of the continuation of individual behavior change as a policy focus, as many of the problems facing communities are beyond individual abilities. Thus, the implications for policy from this study are centered on providing further support for strategies that focus on ensuring equity and food security for all, particularly the rural inhabitants of many food-secure nations. © The Author(s) 2015.
Workplace health and safety issues among community nurses : a study regarding the impact on providing care to rural consumers
- Terry, Daniel, Lê, Quynh, Nguyen, Uyen, Hoang, Hoang
- Authors: Terry, Daniel , Lê, Quynh , Nguyen, Uyen , Hoang, Hoang
- Date: 2015
- Type: Text , Journal article
- Relation: BMJ Open Vol. 5, no. 8 (2015), p.
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- Description: Objectives: The objective of the study was to investigate the types of workplace health and safety issues rural community nurses encounter and the impact these issues have on providing care to rural consumers. Methods: The study undertook a narrative inquiry underpinned by a phenomenological approach. Community nursing staff who worked exclusively in rural areas and employed in a permanent capacity were contacted among 13 of the 16 consenting healthcare services. All community nurses who expressed a desire to participate were interviewed. Data were collected using semistructured interviews with 15 community nurses in rural and remote communities. Thematic analysis was used to analyse interview data. Results: The role, function and structures of community nursing services varied greatly from site to site and were developed and centred on meeting the needs of individual communities. In addition, a number of workplace health and safety challenges were identified and were centred on the geographical, physical and organisational environment that community nurses work across. The workplace health and safety challenges within these environments included driving large distances between client's homes and their office which lead to working in isolation for long periods and without adequate communication. In addition, other issues included encountering, managing and developing strategies to deal with poor client and carer behaviour; working within and negotiating working environments such as the poor condition of patient homes and clients smoking; navigating animals in the workplace; vertical and horizontal violence; and issues around workload, burnout and work-related stress. Conclusions: Many nurses achieved good outcomes to meet the needs of rural community health consumers. Managers were vital to ensure that service objectives were met. Despite the positive outcomes, many processes were considered unsafe by community nurses. It was identified that greater training and capacity building are required to meet the needs among all staff.
- Authors: Terry, Daniel , Lê, Quynh , Nguyen, Uyen , Hoang, Hoang
- Date: 2015
- Type: Text , Journal article
- Relation: BMJ Open Vol. 5, no. 8 (2015), p.
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- Description: Objectives: The objective of the study was to investigate the types of workplace health and safety issues rural community nurses encounter and the impact these issues have on providing care to rural consumers. Methods: The study undertook a narrative inquiry underpinned by a phenomenological approach. Community nursing staff who worked exclusively in rural areas and employed in a permanent capacity were contacted among 13 of the 16 consenting healthcare services. All community nurses who expressed a desire to participate were interviewed. Data were collected using semistructured interviews with 15 community nurses in rural and remote communities. Thematic analysis was used to analyse interview data. Results: The role, function and structures of community nursing services varied greatly from site to site and were developed and centred on meeting the needs of individual communities. In addition, a number of workplace health and safety challenges were identified and were centred on the geographical, physical and organisational environment that community nurses work across. The workplace health and safety challenges within these environments included driving large distances between client's homes and their office which lead to working in isolation for long periods and without adequate communication. In addition, other issues included encountering, managing and developing strategies to deal with poor client and carer behaviour; working within and negotiating working environments such as the poor condition of patient homes and clients smoking; navigating animals in the workplace; vertical and horizontal violence; and issues around workload, burnout and work-related stress. Conclusions: Many nurses achieved good outcomes to meet the needs of rural community health consumers. Managers were vital to ensure that service objectives were met. Despite the positive outcomes, many processes were considered unsafe by community nurses. It was identified that greater training and capacity building are required to meet the needs among all staff.
Challenges of food security for migrants living in a regional area of Australia : food availability, accessibility and affordability
- Yeoh, Joanne, Le, Quynh, Terry, Daniel, McManamey, Rosa
- Authors: Yeoh, Joanne , Le, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 2, no. 3 (2014), p. 72-78
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- Authors: Yeoh, Joanne , Le, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 2, no. 3 (2014), p. 72-78
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Food security in a regional area of Australia : a socio-economic perspective
- Le, Quynh, Auckland, Stuart, Nguyen, Hoang, Murray, Sandra, Long, Gretchen, Terry, Daniel
- Authors: Le, Quynh , Auckland, Stuart , Nguyen, Hoang , Murray, Sandra , Long, Gretchen , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Food and Nutrition Science Vol. 2, no. 4 (2014), p. 50-59
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- Authors: Le, Quynh , Auckland, Stuart , Nguyen, Hoang , Murray, Sandra , Long, Gretchen , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Food and Nutrition Science Vol. 2, no. 4 (2014), p. 50-59
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Having enough cultural food? A qualitative exploration of the experiences of migrants in a regional area of Australia
- Yeoh, Joanne, Lê, Quynh, Terry, Daniel, McManamey, Rosa
- Authors: Yeoh, Joanne , Lê, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Research Vol. 4, no. 2 (2014), p. 16
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- Description: The notion of food security encompasses the ability of individuals, households and communities to acquire food that is healthy, sustainable, affordable, appropriate and accessible. Despite Australia’s current ability to produce more food than required for its population, there has been substantial evidence demonstrating that many Australians struggle to feed themselves, particularly those from a cultural and linguistically diverse (CALD) background. This qualitative phenomenological study investigated the experiences of food security among migrants in a regional area of Australia (Tasmania). 33 semi-structured interviews were conducted with Tasmanian migrants. The interviews were analysed thematically using Nvivo 10.0 and three main themes emerged: (1) migrant’s experiences of food security in Tasmania; (2) the factors that influence migrant food security in Tasmania; and (3) acculturation strategies. Participants were satisfied with their current food security in Tasmania but they still encountered some challenges in the availability, accessibility and affordability of healthy and cultural food. Factors that influenced their food security were educational background, the language barrier, socioeconomic status, geographical isolation, and their cultural background. Migrants managed to adapt to the new food culture by using different acculturation strategies. Migrants residing in Tasmania encounter a diverse number of challenges pertaining to food security and use different food security strategies while acculturating to the new environment. These findings may inform other migrant communities in Australia, relevant non-government organisations and government departments and suggest strategies to address food security challenges among migrants.
- Authors: Yeoh, Joanne , Lê, Quynh , Terry, Daniel , McManamey, Rosa
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Food Research Vol. 4, no. 2 (2014), p. 16
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- Reviewed:
- Description: The notion of food security encompasses the ability of individuals, households and communities to acquire food that is healthy, sustainable, affordable, appropriate and accessible. Despite Australia’s current ability to produce more food than required for its population, there has been substantial evidence demonstrating that many Australians struggle to feed themselves, particularly those from a cultural and linguistically diverse (CALD) background. This qualitative phenomenological study investigated the experiences of food security among migrants in a regional area of Australia (Tasmania). 33 semi-structured interviews were conducted with Tasmanian migrants. The interviews were analysed thematically using Nvivo 10.0 and three main themes emerged: (1) migrant’s experiences of food security in Tasmania; (2) the factors that influence migrant food security in Tasmania; and (3) acculturation strategies. Participants were satisfied with their current food security in Tasmania but they still encountered some challenges in the availability, accessibility and affordability of healthy and cultural food. Factors that influenced their food security were educational background, the language barrier, socioeconomic status, geographical isolation, and their cultural background. Migrants managed to adapt to the new food culture by using different acculturation strategies. Migrants residing in Tasmania encounter a diverse number of challenges pertaining to food security and use different food security strategies while acculturating to the new environment. These findings may inform other migrant communities in Australia, relevant non-government organisations and government departments and suggest strategies to address food security challenges among migrants.
Satisfaction amid professional challenges : international medical graduates in rural Tasmania
- Terry, Daniel, Lê, Quynh, Hoang, Hoang
- Authors: Terry, Daniel , Lê, Quynh , Hoang, Hoang
- Date: 2014
- Type: Text , Journal article
- Relation: Australasian Medical Journal Vol. 7, no. 12 (2014), p. 500-517
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- Description: Background At the time of recruitment, migration, and placement, international medical graduates (IMGs) encounter professional challenges. These challenges may include a loss of status and professional identity, professional isolation in rural practice, restrictions on medical practice, and social isolation. Understanding the nature of these challenges may facilitate the recruitment, placement, and success of international medical graduates within rural Tasmania. Aims The aim of this study was to investigate the experiences, challenges, and barriers that IMGs encounter as they work and live in rural Tasmania. Methods The study used a mixed-methods design where data were collected using a questionnaire and semi-structured interviews across the south, north, and northwest of Tasmania. IMGs were recruited through purposive snowball and convenience sampling. Results A total of 105 questionnaires were returned (response rate 30.0 per cent) and 23 semi-structured interviews were conducted with IMGs across Tasmania. Questionnaire participants indicated that the majority of IMGs are satisfied in their current employment; however, interview participants indicated there were a number of barriers to practising medicine in Tasmania as well as factors that would influence ongoing employment in the state. Despite these challenges, professional support was recognised as a key contributor to professional satisfaction, particularly among IMGs who had just arrived. Conclusion The study contributes to the current knowledge and understanding of IMGs who live and work in rural areas. The study shows that there are high levels of satisfaction among IMGs with their current position; however, the research also provides insight into the complexities and factors that impact IMGs as they work and live within rural areas such as Tasmania. This study offers an understanding for policy to improve greater retention of IMGs across rural areas. © 2014 Australasion Medical Jaurnal. All rights received.
- Authors: Terry, Daniel , Lê, Quynh , Hoang, Hoang
- Date: 2014
- Type: Text , Journal article
- Relation: Australasian Medical Journal Vol. 7, no. 12 (2014), p. 500-517
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- Description: Background At the time of recruitment, migration, and placement, international medical graduates (IMGs) encounter professional challenges. These challenges may include a loss of status and professional identity, professional isolation in rural practice, restrictions on medical practice, and social isolation. Understanding the nature of these challenges may facilitate the recruitment, placement, and success of international medical graduates within rural Tasmania. Aims The aim of this study was to investigate the experiences, challenges, and barriers that IMGs encounter as they work and live in rural Tasmania. Methods The study used a mixed-methods design where data were collected using a questionnaire and semi-structured interviews across the south, north, and northwest of Tasmania. IMGs were recruited through purposive snowball and convenience sampling. Results A total of 105 questionnaires were returned (response rate 30.0 per cent) and 23 semi-structured interviews were conducted with IMGs across Tasmania. Questionnaire participants indicated that the majority of IMGs are satisfied in their current employment; however, interview participants indicated there were a number of barriers to practising medicine in Tasmania as well as factors that would influence ongoing employment in the state. Despite these challenges, professional support was recognised as a key contributor to professional satisfaction, particularly among IMGs who had just arrived. Conclusion The study contributes to the current knowledge and understanding of IMGs who live and work in rural areas. The study shows that there are high levels of satisfaction among IMGs with their current position; however, the research also provides insight into the complexities and factors that impact IMGs as they work and live within rural areas such as Tasmania. This study offers an understanding for policy to improve greater retention of IMGs across rural areas. © 2014 Australasion Medical Jaurnal. All rights received.
Social capital among migrating doctors : the “bridge” over troubled water
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Health Organization and Management Vol. 28, no. 3 (2014), p. 315-326
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- Description: Purpose – The purpose of this paper is to examine the concept of social capital among International Medical Graduates (IMGs). It will specifically examine bridging social capital and greater intercultural communication which provides IMGs access to the wider community and plays a key role in cross-cultural adaptation and acculturation. Design/methodology/approach – A review of the literature. Findings – An Australian wide shortage of doctors has led to an increased reliance on the recruitment of IMGs. As IMGs migrate, they may encounter different meanings of illness, models of care and a number of social challenges. Nevertheless, greater cross-cultural adaptation and acculturation occurs through bridging social capital, where intercultural communication, new social networks and identity aids integration. This process produces more opportunities for economic capital growth and upward mobility than bonding social capital. Practical...
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Health Organization and Management Vol. 28, no. 3 (2014), p. 315-326
- Full Text:
- Reviewed:
- Description: Purpose – The purpose of this paper is to examine the concept of social capital among International Medical Graduates (IMGs). It will specifically examine bridging social capital and greater intercultural communication which provides IMGs access to the wider community and plays a key role in cross-cultural adaptation and acculturation. Design/methodology/approach – A review of the literature. Findings – An Australian wide shortage of doctors has led to an increased reliance on the recruitment of IMGs. As IMGs migrate, they may encounter different meanings of illness, models of care and a number of social challenges. Nevertheless, greater cross-cultural adaptation and acculturation occurs through bridging social capital, where intercultural communication, new social networks and identity aids integration. This process produces more opportunities for economic capital growth and upward mobility than bonding social capital. Practical...
The valorisation of African languages and policies in the African education systems : a case of Uganda
- Muzoora, Michael, Terry, Daniel, Asiimwe, Agatha
- Authors: Muzoora, Michael , Terry, Daniel , Asiimwe, Agatha
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Educational Research Vol. 2, no. 1 (2014), p. 42-50
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- Description: This paper highlights the challenges of current language policies in education in Africa, with reference to Uganda. Also examined are the likely challenges to language policy in education, while indicating how these challenges can be curtailed or overcome. The authors suggest a different view is required when approaching this topic with a paradigm shift from modernist theories imbued with colonial and neo-colonial approaches experienced by African countries over decades. The use of a more post-modernist critical theory is required to envisage democracy, linguistic justice, linguistic human rights, linguistic citizenship, diversity and sustainability for quality education and development. The execution of outdated language policies in education that are often misguided and do not reflect reality continually cost individual learners and their societies. This is evidenced by the trend of education output and research by scholars worldwide on literacy and educational achievement in Africa. Many African governments are tending towards local/arterial languages in educational policy and are supportive of inclusion of African languages in education however the trend in literacy and educational attainment is stagnant with outcomes becoming worse. By advocating for a much wider collective approach, research based on these very communities by African researchers working with and in the communities can aid an improved outcome in the African settings. The approach advocates language policies in education to shift from borrowing colonial policies to pragmatic policies which are emancipatory and liberative with learner centred approaches to teaching and learning.
- Authors: Muzoora, Michael , Terry, Daniel , Asiimwe, Agatha
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Educational Research Vol. 2, no. 1 (2014), p. 42-50
- Full Text:
- Reviewed:
- Description: This paper highlights the challenges of current language policies in education in Africa, with reference to Uganda. Also examined are the likely challenges to language policy in education, while indicating how these challenges can be curtailed or overcome. The authors suggest a different view is required when approaching this topic with a paradigm shift from modernist theories imbued with colonial and neo-colonial approaches experienced by African countries over decades. The use of a more post-modernist critical theory is required to envisage democracy, linguistic justice, linguistic human rights, linguistic citizenship, diversity and sustainability for quality education and development. The execution of outdated language policies in education that are often misguided and do not reflect reality continually cost individual learners and their societies. This is evidenced by the trend of education output and research by scholars worldwide on literacy and educational achievement in Africa. Many African governments are tending towards local/arterial languages in educational policy and are supportive of inclusion of African languages in education however the trend in literacy and educational attainment is stagnant with outcomes becoming worse. By advocating for a much wider collective approach, research based on these very communities by African researchers working with and in the communities can aid an improved outcome in the African settings. The approach advocates language policies in education to shift from borrowing colonial policies to pragmatic policies which are emancipatory and liberative with learner centred approaches to teaching and learning.
Transition to an unfamiliar environment : international students' living experiences in an Australian regional area
- Yue, Yun, Le, Quynh, Terry, Daniel
- Authors: Yue, Yun , Le, Quynh , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of the Australia and New Zealand Student Services Association [JANZSSA] Vol. , no. 43 (2014), p. 10-20
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- Description: Transition to an unfamiliar environment is a complex process. Many previous studies have paid more attention to international students' sociocultural adaptation than their basic living conditions and healthy behaviours. In fact, these factors are also closely associated with international students' physical and psychological wellbeing. This study, in the context of a university in a regional area in Australia, examined international students' satisfaction with their basic living conditions, as well as assessed their healthy behaviours to give important insights into international students' basic living experience in Australia. Semi-structured interviews were used to collect qualitative data in this study. Twenty international students were invited to give their insights and perceptions of their life in regional Australia. The study found that accommodation, transport, financial and food and diet are the four main considerations related to international students' basic living satisfaction....
- Authors: Yue, Yun , Le, Quynh , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of the Australia and New Zealand Student Services Association [JANZSSA] Vol. , no. 43 (2014), p. 10-20
- Full Text:
- Reviewed:
- Description: Transition to an unfamiliar environment is a complex process. Many previous studies have paid more attention to international students' sociocultural adaptation than their basic living conditions and healthy behaviours. In fact, these factors are also closely associated with international students' physical and psychological wellbeing. This study, in the context of a university in a regional area in Australia, examined international students' satisfaction with their basic living conditions, as well as assessed their healthy behaviours to give important insights into international students' basic living experience in Australia. Semi-structured interviews were used to collect qualitative data in this study. Twenty international students were invited to give their insights and perceptions of their life in regional Australia. The study found that accommodation, transport, financial and food and diet are the four main considerations related to international students' basic living satisfaction....
Views and perceptions of local council partners concerning a regional-scale health promotion initiative in rural Australia
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Terry, Daniel
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 2, no. 7 (2014), p. 181-188
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- Description: There are a number of risk factors which increasingly impact the health and wellbeing of Australians, particularly in rural communities. To address the health and wellbeing of communities, local governments are taking on a more focused role by supporting healthy community initiatives (HCI). This paper presents local council partners perceptions concerning a regional-scale health promotion initiative that was undertaken in rural Tasmania, Australia. The evaluation provides insight into the future decisions and strategies that may be developed to improve processes, methods and outcomes of health initiatives undertaken by local governments. The study used a mixed methods approach collecting data through a questionnaire, focus group discussions and interviews with stakeholders and participating councils to provide an understanding of the effectiveness and success of, and barriers to, the health promotion initiative. It was found that there was an emphasis by local councils on programs that promoted physical activities, while programs that focused on healthy food and other health promotion topics, such as quit smoking and healthy workplaces were less emphasised. Overall, the health promotion initiative was perceived to be effective; however, there was little measureable evidence as to the outcomes of the various projects within the initiative and there was concern regarding the sustainability of the initiative beyond the funding timeframe. Community based, health promotion interventions are complex. Local government are suitably placed to deliver health promotion initiatives, as they have a greater understanding and can affect the greatest change by investing in projects with the highest priority among those communities within their boundaries. Nevertheless, sustainability of projects beyond funding allocation, while building and improving partnerships among local governments, and service agencies to pool resources and capture specific target groups must be central to ongoing initiatives.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 2, no. 7 (2014), p. 181-188
- Full Text:
- Reviewed:
- Description: There are a number of risk factors which increasingly impact the health and wellbeing of Australians, particularly in rural communities. To address the health and wellbeing of communities, local governments are taking on a more focused role by supporting healthy community initiatives (HCI). This paper presents local council partners perceptions concerning a regional-scale health promotion initiative that was undertaken in rural Tasmania, Australia. The evaluation provides insight into the future decisions and strategies that may be developed to improve processes, methods and outcomes of health initiatives undertaken by local governments. The study used a mixed methods approach collecting data through a questionnaire, focus group discussions and interviews with stakeholders and participating councils to provide an understanding of the effectiveness and success of, and barriers to, the health promotion initiative. It was found that there was an emphasis by local councils on programs that promoted physical activities, while programs that focused on healthy food and other health promotion topics, such as quit smoking and healthy workplaces were less emphasised. Overall, the health promotion initiative was perceived to be effective; however, there was little measureable evidence as to the outcomes of the various projects within the initiative and there was concern regarding the sustainability of the initiative beyond the funding timeframe. Community based, health promotion interventions are complex. Local government are suitably placed to deliver health promotion initiatives, as they have a greater understanding and can affect the greatest change by investing in projects with the highest priority among those communities within their boundaries. Nevertheless, sustainability of projects beyond funding allocation, while building and improving partnerships among local governments, and service agencies to pool resources and capture specific target groups must be central to ongoing initiatives.
Women's access needs in maternity care in rural Tasmania, Australia : a mixed methods study
- Hoang, Ha, Le, Quynh, Terry, Daniel
- Authors: Hoang, Ha , Le, Quynh , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Women and Birth Vol. 27, no. 1 (2014), p. 9-14
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- Description: Objectives: This study investigates (i) maternity care access issues in rural Tasmania, (ii) rural women's challenges in accessing maternity services and (iii) rural women's access needs in maternity services. Methods: A mixed-method approach using a survey and semi-structured interviews was conducted. The survey explored women's views of rural maternity services from antenatal to postnatal care, while interviews reinforced the survey results and provided insights into the access issues and needs of women in maternity care. Findings: The survey was completed by n=210 women, with a response rate of 35%, with n=22 follow-up interviews being conducted. The survey indicated the majority of rural women believed antenatal education and check-ups and postnatal check-ups should be provided locally. The majority of women surveyed also believed in the importance of having a maternity unit in the local hospital, which was further iterated and clarified within the interviews. Three main themes emerged from the interview data, namely (i) lack of access to maternity services, (ii) difficulties in accessing maternity services, and (iii) rural women's access needs. Conclusion: The study suggested that women's access needs are not fully met in some rural areas of Tasmania. Rural women face many challenges when accessing maternity services, including financial burden and risk of labouring en route. The study supports the claim that the closure of rural maternity units shifts cost and risk from the health care system to rural women and their families. © 2013 Australian College of Midwives.
- Authors: Hoang, Ha , Le, Quynh , Terry, Daniel
- Date: 2014
- Type: Text , Journal article
- Relation: Women and Birth Vol. 27, no. 1 (2014), p. 9-14
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- Description: Objectives: This study investigates (i) maternity care access issues in rural Tasmania, (ii) rural women's challenges in accessing maternity services and (iii) rural women's access needs in maternity services. Methods: A mixed-method approach using a survey and semi-structured interviews was conducted. The survey explored women's views of rural maternity services from antenatal to postnatal care, while interviews reinforced the survey results and provided insights into the access issues and needs of women in maternity care. Findings: The survey was completed by n=210 women, with a response rate of 35%, with n=22 follow-up interviews being conducted. The survey indicated the majority of rural women believed antenatal education and check-ups and postnatal check-ups should be provided locally. The majority of women surveyed also believed in the importance of having a maternity unit in the local hospital, which was further iterated and clarified within the interviews. Three main themes emerged from the interview data, namely (i) lack of access to maternity services, (ii) difficulties in accessing maternity services, and (iii) rural women's access needs. Conclusion: The study suggested that women's access needs are not fully met in some rural areas of Tasmania. Rural women face many challenges when accessing maternity services, including financial burden and risk of labouring en route. The study supports the claim that the closure of rural maternity units shifts cost and risk from the health care system to rural women and their families. © 2013 Australian College of Midwives.
Continuity of carer in the public hospital system in the eyes of rural women and maternity health providers in Tasmania, Australia
- Hoang, Ha, Le, Quynh, Terry, Daniel, Kilpatrick, Sue, Stuart, Jacqueline
- Authors: Hoang, Ha , Le, Quynh , Terry, Daniel , Kilpatrick, Sue , Stuart, Jacqueline
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. (2013), p. 1-6
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- Description: This study investigates Tasmanian maternity health providers’ and rural women’s experiences and views of continuity of care in the public health system and the feasibility of this model is explored. Semi-structured interviews were conducted with 22 women who had childbirth experiences in six rural areas in Tasmania in the past five years. In addition 20 multidisciplinary maternity health providers currently employed by the health care system were also interviewed. Multidisciplinary maternity health providers and rural women believed that continuity of carer would help them build up relationship with each other and contribute to their satisfaction with care. However, both Tasmanian maternity health providers and rural consumers recognised the challenges of providing continuity of carer in the current public health system due to the constraints of human resources. Given the human resource constraints in the public hospital system, women would be happy with the quality of care provided by the team of health professionals.
- Authors: Hoang, Ha , Le, Quynh , Terry, Daniel , Kilpatrick, Sue , Stuart, Jacqueline
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. (2013), p. 1-6
- Full Text:
- Reviewed:
- Description: This study investigates Tasmanian maternity health providers’ and rural women’s experiences and views of continuity of care in the public health system and the feasibility of this model is explored. Semi-structured interviews were conducted with 22 women who had childbirth experiences in six rural areas in Tasmania in the past five years. In addition 20 multidisciplinary maternity health providers currently employed by the health care system were also interviewed. Multidisciplinary maternity health providers and rural women believed that continuity of carer would help them build up relationship with each other and contribute to their satisfaction with care. However, both Tasmanian maternity health providers and rural consumers recognised the challenges of providing continuity of carer in the current public health system due to the constraints of human resources. Given the human resource constraints in the public hospital system, women would be happy with the quality of care provided by the team of health professionals.
Current programs and future needs in health literacy for older people : a literature review
- Lê, Quynh, Terry, Daniel, Woodroffe, Jess
- Authors: Lê, Quynh , Terry, Daniel , Woodroffe, Jess
- Date: 2013
- Type: Text , Journal article , Review
- Relation: Journal of Consumer Health on the Internet Vol. 17, no. 4 (2013), p. 369-388
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- Description: Inadequate health literacy occurs more amongst older adults and can result in difficulties synthesising information and communicating with health professionals, increased emergency visits and hospitalizations, poor uptake of preventative interventions, increased mortality, and ultimately greater health care costs. A literature review was conducted that identified 12 articles that discussed and examined health literacy interventions among older adults. It revealed few papers exist which highlight programs that examine health literacy outcomes for older adults. The review identified evidence-based best-practice models of health literacy interventions need to be further developed to meet the health literacy needs of aging population. © 2013 Copyright Quynh Le, Daniel R. Terry, and Jess Woodroffe.
- Authors: Lê, Quynh , Terry, Daniel , Woodroffe, Jess
- Date: 2013
- Type: Text , Journal article , Review
- Relation: Journal of Consumer Health on the Internet Vol. 17, no. 4 (2013), p. 369-388
- Full Text:
- Reviewed:
- Description: Inadequate health literacy occurs more amongst older adults and can result in difficulties synthesising information and communicating with health professionals, increased emergency visits and hospitalizations, poor uptake of preventative interventions, increased mortality, and ultimately greater health care costs. A literature review was conducted that identified 12 articles that discussed and examined health literacy interventions among older adults. It revealed few papers exist which highlight programs that examine health literacy outcomes for older adults. The review identified evidence-based best-practice models of health literacy interventions need to be further developed to meet the health literacy needs of aging population. © 2013 Copyright Quynh Le, Daniel R. Terry, and Jess Woodroffe.
International research students’ experiences in academic success
- Authors: Yeoh, Joanne , Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Educational Research Vol. 1, no. 3 (2013), p. 275-280
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- Description: The flow of international students to study in Australia increases each year. It is a challenge for students to study abroad in a different sociocultural environment, especially for postgraduate research students, as they experience numerous difficulties in an unfamiliar and vastly different study environment. A study aimed to investigate the experiences of international research students and how this impacted upon their studies at the University of Tasmania (UTAS). This study also provides insight and guidance regarding the experiences of current and future international research students in Australia and universities globally. It also offers to educational services and relevant government agencies a greater understanding on how to support international research students more effectively. Qualitative research methods were used to gain deeper insights about the issue. Semi-structured interviews were conducted with ten participants who were selected randomly from different faculties within the university. All collected data were analysed by Nvivo version 10. Constructivist grounded theory was the basis of qualitative data analysis. The findings indicate that there are five main areas of difficulty when international research students are studying in the Australian tertiary education context. These are; language barrier, time management, research resources, educational background and cultural background. The findings of the study provide guidelines and references for current and prospective international research students in the Australian university context.
- Authors: Yeoh, Joanne , Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Educational Research Vol. 1, no. 3 (2013), p. 275-280
- Full Text:
- Reviewed:
- Description: The flow of international students to study in Australia increases each year. It is a challenge for students to study abroad in a different sociocultural environment, especially for postgraduate research students, as they experience numerous difficulties in an unfamiliar and vastly different study environment. A study aimed to investigate the experiences of international research students and how this impacted upon their studies at the University of Tasmania (UTAS). This study also provides insight and guidance regarding the experiences of current and future international research students in Australia and universities globally. It also offers to educational services and relevant government agencies a greater understanding on how to support international research students more effectively. Qualitative research methods were used to gain deeper insights about the issue. Semi-structured interviews were conducted with ten participants who were selected randomly from different faculties within the university. All collected data were analysed by Nvivo version 10. Constructivist grounded theory was the basis of qualitative data analysis. The findings indicate that there are five main areas of difficulty when international research students are studying in the Australian tertiary education context. These are; language barrier, time management, research resources, educational background and cultural background. The findings of the study provide guidelines and references for current and prospective international research students in the Australian university context.
Living in a regional area : access, utilisation and health care quality
- Lê, Quynh, Auckland, Stuart, Nguyên, Hoang, Terry, Daniel, Hoang, Ha
- Authors: Lê, Quynh , Auckland, Stuart , Nguyên, Hoang , Terry, Daniel , Hoang, Ha
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. (2013), p. 20-32
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- Description: Primary health care plays a significant role in the well-being of individuals and communities, yet access to these services can vary. Factors such as socio-economic status and location of residence can impact this access. A study was conducted to investigate the relationship between location, utilisation, quality and health outcomes of primary health care services in the Meander Valley municipality of Tasmania, Australia. This paper reports the findings of the study which adopted a mixed-methods approach with multiple sources of data including government reports, survey questionnaires and interviews. The regional socio-economic disadvantage reflected not only the health disparities and poorer health conditions, but also the affordability to seek care. This was compounded by the lower levels of available health services and private health insurance. The lack of local services or their low quality was the main motivation for many to seek care outside of the region, which was unaffordable and at times logistically impossible. On the basis of the findings, a number of recommendations are provided to guide the current and future health care services and to improve the well-being of the Meander Valley community.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyên, Hoang , Terry, Daniel , Hoang, Ha
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. (2013), p. 20-32
- Full Text:
- Reviewed:
- Description: Primary health care plays a significant role in the well-being of individuals and communities, yet access to these services can vary. Factors such as socio-economic status and location of residence can impact this access. A study was conducted to investigate the relationship between location, utilisation, quality and health outcomes of primary health care services in the Meander Valley municipality of Tasmania, Australia. This paper reports the findings of the study which adopted a mixed-methods approach with multiple sources of data including government reports, survey questionnaires and interviews. The regional socio-economic disadvantage reflected not only the health disparities and poorer health conditions, but also the affordability to seek care. This was compounded by the lower levels of available health services and private health insurance. The lack of local services or their low quality was the main motivation for many to seek care outside of the region, which was unaffordable and at times logistically impossible. On the basis of the findings, a number of recommendations are provided to guide the current and future health care services and to improve the well-being of the Meander Valley community.
Patient-held logbooks for cancer care treatment : the users’ evaluative perspective
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Terry, Daniel, Lê., Dustin
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Lê., Dustin
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. 2 (2013), p. 15-19
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- Description: The quality and usefulness of patient held logbooks as a record to improve communication between healthcare professionals providing cancer care was evaluated. Its aim was to facilitate greater coordination and information sharing between patients, carers, clinicians and other health professionals. A mixed-method exploratory study conducted 12-week post distribution of logbooks to patients undertaking cancer care. Data was gathered through questionnaires returned by 66 participants (response rate of 57.4%) and interviews with five clinical oncology nurses at a Tasmanian hospital. The logbook quality was evaluated against two sets of indicators, including content and layout. The general effectiveness of the patient logbook was also assessed based on its usefulness, usability, efficiency and satisfaction. The logbook was considered useful among 63 (95.1%) participants. They acknowledged the logbook enabled them to be better informed, created a feeling of empowerment and greater control over their medical condition. The logbook was observed to improve communication between clinicians, their patients and families. The evaluation generated rich, in-depth information and provided useful insights into the general quality and usefulness of the logbook for cancer care. The strengths and weaknesses of the logbook were highlighted and how to better utilise its functions in the current medical system.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Lê., Dustin
- Date: 2013
- Type: Text , Journal article
- Relation: Universal Journal of Public Health Vol. 1, no. 2 (2013), p. 15-19
- Full Text:
- Reviewed:
- Description: The quality and usefulness of patient held logbooks as a record to improve communication between healthcare professionals providing cancer care was evaluated. Its aim was to facilitate greater coordination and information sharing between patients, carers, clinicians and other health professionals. A mixed-method exploratory study conducted 12-week post distribution of logbooks to patients undertaking cancer care. Data was gathered through questionnaires returned by 66 participants (response rate of 57.4%) and interviews with five clinical oncology nurses at a Tasmanian hospital. The logbook quality was evaluated against two sets of indicators, including content and layout. The general effectiveness of the patient logbook was also assessed based on its usefulness, usability, efficiency and satisfaction. The logbook was considered useful among 63 (95.1%) participants. They acknowledged the logbook enabled them to be better informed, created a feeling of empowerment and greater control over their medical condition. The logbook was observed to improve communication between clinicians, their patients and families. The evaluation generated rich, in-depth information and provided useful insights into the general quality and usefulness of the logbook for cancer care. The strengths and weaknesses of the logbook were highlighted and how to better utilise its functions in the current medical system.
The baby, the bath water and the future of IMGs
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. 1 (2013), p. 51-62
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- Description: Migration has significantly accelerated over in the past few decades, with the migration of doctors and other health professionals from developed countries forming a large part of the globalisation of health care. As such, migrant labour has been observed as a means of meeting job shortages within developed countries, from low-skilled to highly-skilled professional occupations, such as International Medical Graduates (IMG). Australia, like many other developed countries, has trained insufficient doctors in the past. This has led to the immigration of IMGs to fill this gap, particularly in rural and remote areas. As countries, such as Australia has developed an ongoing need for IMGs, so too the policies and regulations have developed over the decades to meet those needs. However, as Australia now begins to train more local medical graduates, the future for IMGs remains less conceivable. The aim of this paper is to discuss the increased use of IMGs and the development of legislation and policy to regulate this cohort of migrant labour in Australia while examining what the future may be for IMGs.
- Authors: Terry, Daniel , Lê, Quynh
- Date: 2013
- Type: Text , Journal article
- Relation: International Journal of Innovative Interdisciplinary Research Vol. 2, no. 1 (2013), p. 51-62
- Full Text:
- Reviewed:
- Description: Migration has significantly accelerated over in the past few decades, with the migration of doctors and other health professionals from developed countries forming a large part of the globalisation of health care. As such, migrant labour has been observed as a means of meeting job shortages within developed countries, from low-skilled to highly-skilled professional occupations, such as International Medical Graduates (IMG). Australia, like many other developed countries, has trained insufficient doctors in the past. This has led to the immigration of IMGs to fill this gap, particularly in rural and remote areas. As countries, such as Australia has developed an ongoing need for IMGs, so too the policies and regulations have developed over the decades to meet those needs. However, as Australia now begins to train more local medical graduates, the future for IMGs remains less conceivable. The aim of this paper is to discuss the increased use of IMGs and the development of legislation and policy to regulate this cohort of migrant labour in Australia while examining what the future may be for IMGs.
The critical discourse analysis paradox : a brief research reflection
- Authors: Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Internet Journal of Language, Culture and Society Vol. 38, no. (2013), p. 42-44
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- Description: Critical Discourse Analysis (CDA) is a means of criticising or critiquing the social order of power, inequality and hegemony in language. Within a doctoral study CDA was used to determine if social power, dominance, and inequality are enacted and reproduced through the text and talk of key participants. A reflection of the researcher experiences is provided as the results were analysed and prepared for publication. The discussion highlights there are other also discourses of power and hegemony which may impact researchers and authors themselves as they report and discuss discourse which marginalises those individuals and groups for whom the research is being conducted. As researchers and academics attempt to articulate and discuss discourse which marginalise and stigmatise, they need to acknowledge and recognise the discourse, which impacts their own ability to advocate for change, adjustment and empowerment.
- Authors: Terry, Daniel
- Date: 2013
- Type: Text , Journal article
- Relation: Internet Journal of Language, Culture and Society Vol. 38, no. (2013), p. 42-44
- Full Text:
- Reviewed:
- Description: Critical Discourse Analysis (CDA) is a means of criticising or critiquing the social order of power, inequality and hegemony in language. Within a doctoral study CDA was used to determine if social power, dominance, and inequality are enacted and reproduced through the text and talk of key participants. A reflection of the researcher experiences is provided as the results were analysed and prepared for publication. The discussion highlights there are other also discourses of power and hegemony which may impact researchers and authors themselves as they report and discuss discourse which marginalises those individuals and groups for whom the research is being conducted. As researchers and academics attempt to articulate and discuss discourse which marginalise and stigmatise, they need to acknowledge and recognise the discourse, which impacts their own ability to advocate for change, adjustment and empowerment.
The paradox of going hungry when there is so much food : the perspective of vulnerable youth and their caseworkers
- Lê, Quynh, Auckland, Stuart, Nguyen, Hoang, Terry, Daniel, Barnett, Tony
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Barnett, Tony
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 1, no. 2 (2013), p. 10-15
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- Description: This study aimed to examine the food security challenges experienced among vulnerable youth in North West Tasmania. An exploratory, descriptive design was used to collect data through face-to-face interviews and focus group discussions with 22 young residents and with five stakeholders and representatives from different community and state organisations. The most significant finding of the study was that a proportion of young residents in the North West Coast of Tasmania were threatened by food insecurity, which was caused by a combination of factors including patterns of food consumption and dietary behaviours. Those with higher financial difficulty due to the lack of a stable job were significantly more vulnerable to food insecurity and faced a higher chance of having health problems. The findings of the project have many implications to improve the food security and lives of vulnerable youth.
- Authors: Lê, Quynh , Auckland, Stuart , Nguyen, Hoang , Terry, Daniel , Barnett, Tony
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Food Security Vol. 1, no. 2 (2013), p. 10-15
- Full Text:
- Reviewed:
- Description: This study aimed to examine the food security challenges experienced among vulnerable youth in North West Tasmania. An exploratory, descriptive design was used to collect data through face-to-face interviews and focus group discussions with 22 young residents and with five stakeholders and representatives from different community and state organisations. The most significant finding of the study was that a proportion of young residents in the North West Coast of Tasmania were threatened by food insecurity, which was caused by a combination of factors including patterns of food consumption and dietary behaviours. Those with higher financial difficulty due to the lack of a stable job were significantly more vulnerable to food insecurity and faced a higher chance of having health problems. The findings of the project have many implications to improve the food security and lives of vulnerable youth.